Organization · Type 2 NPI

Elite Spine LLC

Medical Specialty Clinic/Center · Port Orange, FL

NPI number 1639698269 Active

Practice location

800 Dunlawton Ave Ste 103
Port Orange, FL 32127-4249

Fax (386) 401-2316

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500XCH12049 (FL)

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

4 other providers at this address

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About NPI 1639698269

Elite Spine LLC's National Provider Identifier is 1639698269, issued on Sep 14, 2017. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Port Orange, FL. The record was last updated on Oct 4, 2021.